Medical Intake Form for Dermaplaning
Please list current skincare routine (e.g. Proactiv Cleanser, Three Milk Moisturizer, Facial Oil, etc.)
I understand that during my treatment, my provider will be recommending proper at home care including product solutions and step by step instructions with those products. I understand that my service results will not be guaranteed if proper at home care is not followed.
If no to the above question, please list concerns:
If yes, please list: